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:: FORM NQ. a~L1d <br />a!~HR',AFi'iCA <br /> <br />1 <br />FINANCING STATEMENT AND SECURITY AGREEMENT <br />Uniform Commercial Code <br />Set of forms consisting of: <br />1. FILING OFFICER'S COPY -Perforated $ x 5 inches <br />2. FILING OFFICER`S ACKNOWLEDGMENT TO SECURED PARTY <br />3. SECURITY AGREEMENT <br />4. DEBTOR'S COPY <br />08TAIN ORIGINAL SIGNATURES ON ALL COPIES <br />FiNANGING STATEMENT is presented to a filing officer for filifg purwant to the Uniform Commercial Code. <br />t. 4'~btorfsi (Last name first) and addresses! 2. Secured Party{ies) and address{asi 1 For Elting Qfticer !Dare, Time. Number and <br />including Couay of debbr`s residence {Filing Officol <br />C~ SUPPLY, INC, Tf~ ~? NATIONAL BANK C&' <br />1 115 East South Froslt GRATA ISLANA I - ~~--` y} ~ , <br />Grand T51arx3, ~• 68801 Grarxi Islarxi, Nebraska 68$01 .~t.~' <br />(Hall Oourtty) <br />~~ <br />CREATION t31<SECURfTY INTER€ST AND DESCRIRTfUN OF COILATERAt <br />`- - - - - - - -- - ` -... - '~ rsres9r*t and- future indeb=ednass aeti iiabi!tt?es of ~.,t,.3r,~~r ratrre .t3 a~-zlr~-. --- <br />tt~, ~ris€h~r ur!e r~r mere, as ~ceritY for an of Deetcx _ <br />-`_=-4~fY, Prsd ~Ltrra#~-ar}ri_~x ierrsinns Lher¢ol, cants.Sd~sa-red._P~rty.;i-r~-u*iiy irttg€~4t in_ih~.frs~~iag-~iiatP`~t, zvfs~*ihs.r ~ii+~~saneif-~ - <br />fiereaft+sr acquired by the Debtor, and in additions, accessions, substitution thereto: and all prpducts and proceeds thereof: <br />- All accounts arst3 all re~rds of aca~unt relating to said accounts, iztclixiirig accatnts ~ <br />receivable, ooittract rights, and all other forms of obligations owing to debtor; all <br />iTiventory and all records relating to said invenix~ry; chattel paper; all ft:snitixre and <br />fixtxx>7es nraw otar>.ed or hereafter acglzised, located at the following described real estate: <br />5~t 2, Block 54, Original Zbwn, now Gity of Grand Island, Hall County, Nebraska <br />WARRANTIES <br />Debtor warrants: The collateral is used or being bought primarily for personal, family or household purppses; but it marked here <br />for tarmifig operations, if marked here _ for business operations only, the address pf pebmr's residence is as shown above, end <br />[he Debtpr wdt nbt sell or otherwise dispose of anY of the collateral without cpnsent of Secured Party- As to any collateral being acquired <br />by Debto* with the proceeds of anY note or notes Secured Forty may disburse directly W the Seller of the collateral, <br />dEB~f3R AGREES TO ADOITiONAt TERMS IYCLUDEO iN ALL SECURtTY AGREEMENTS GIVEN TO SECURED PARTY <br />Executed this ~>~ay of I]~tll~c±r ________. 19._-_~$ <br />T~ BANK CE' ISIADID SUPPLY, INC• <br />~'"~ r_ , <br />S~snas u.eat Se~u.e.t Aetty ~ .~~ ,iq~itr~~` '}q~~.,.~ <br />FILING C1FFICER'S CC~Y - fINANCING TATEMENt <br />• <br /> <br />